Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01006 | Date 10/09/2018 |
| Token No | SM/19-20/14709 05/12/2019 | Serial | 037 Last Visit: 16/03/2020 |
| Patient Name | Mrs. KALIKA RIT | Contact No | 7044722926 |
| Address | CHOTO BELUR | Age | 58.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||